<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Channel_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-channel_id" data-rule="required" data-source="channel/index" class="form-control selectpage" name="row[channel_id]" type="text" value="{$row.channel_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Total_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_fee" data-rule="required" class="form-control" name="row[total_fee]" type="number" value="{$row.total_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Rel_table')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-rel_table" class="form-control" name="row[rel_table]" type="text" value="{$row.rel_table|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Rel_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-rel_id" data-rule="required" data-source="rel/index" class="form-control selectpage" name="row[rel_id]" type="text" value="{$row.rel_id|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
